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Delivering Care Closer to Home

Our theme aims to strengthen the evidence base supporting the Department for Health and Social care plans to increase ‘right care, first time’ closer to home and support the “left shift” in care from hospital to the community. This is key to relieving current pressures on acute hospital services and better meeting health and social care needs.

We will work with integrated health boards, health and social care organisations, and diverse patient involvement groups to ensure that our research is inclusive and addresses existing health inequalities. Our research will ensure that services adapt to meet the needs of diverse populations when implementing the left shift in care.

Across 4 key work streams we will:

1) Evaluate system level interventions that provide alternatives to established models of acute care

2) Identify ways access to primary care can be improved

3) Support ambulance services in meeting the needs of patients in the community

4) Rapidly respond to commissioner and service providers needs for evidence to address emerging challenges.

Delivering Care Closer to Home Projects

Reducing avoidable admissions in acute hospital care:The role and impact of same day emergency care (SDEC) services

Why is this research needed? Some A&E patients can have safe care and better outcomes if they are not admitted to hospital. Avoiding admission can also lead to better experiences,...

A mixed methods evaluation of the implementation of virtual wards across South Yorkshire and Bassetlaw

Virtual wards (VWs) involve monitoring and treating people at home as an alternative to admission to hospital. Phase 1 is in-depth qualitative work to comparison the different VW models in...

Understanding Variation in Admissions from Care Homes (UVAC)

Why the research is needed Older care home residents often suffer from reduced mobility, confusion and infections when they are in hospital. Previous research by the Health Foundation found that...

Making a Difference: Our Latest Delivering Care Closer to Home case studies

Meet the Delivering Care Closer to Home Team

Fiona Sampson

Delivering Care Closer to Home Theme Lead

Charlotte Cotterill

Research Associate

Katie Zwerger

Research Associate and Knowledge Mobilisation Champion

Our latest Delivering Care Closer to Home publications

High Frequency Emergency Department Use and Heterogeneity of Reasons for Attendance by Children & Young People: A Retrospective Cohort Study

Winter all year round in urgent and emergency care: a large retrospective study of routinely collected NHS data across England, 2021-2022.

Clinical advisors at NHS 111 improve accuracy for paediatric patients and their advice is more reliably followed: a retrospective observational cohort study